MR. DUSTIN WILLIAM TIMS PA-C NPI 1518204056

NPI Information

NPI: 1518204056
Provider Name: MR. DUSTIN WILLIAM TIMS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: NEUROSURGICAL SERVICES PLLC

PECOS Registration: Yes

Address:
1257 E 33RD ST
EDMOND, OK
ZIP 73013
Phone: (405) 757-2430
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MR. Dustin William Tims, PA-C is a surgical physician assistant in Edmond, OK with 12 years of experience. MR. Dustin William Tims, PA-C NPI is 1518204056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1257 E 33RD ST
EDMOND, OK
ZIP 73013-307
Phone: (405) 757-2430
Fax: (405) 757-6017

The NPI 1518204056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2013 and was last updated on 11/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	2226	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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